Customer Service Representative I

Arkansas Blue Cross and Blue Shield; Little Rock (AR); Hybrid; USD 36,000 - 48,000; Full time

Job summary

Arkansas Blue Cross and Blue Shield seeks a Customer Service Representative (CSR) to resolve member and provider inquiries in a timely, courteous manner. You will document interactions and, when needed, escalate to subject matter experts across the company to achieve first-time resolution.

The role emphasizes strong communication, multitasking, and the ability to work in a high-stress environment, with training on benefits, eligibility, and privacy rules under HIPAA.

Qualifications

• High school diploma or equivalent.
• 2+ years in a specialized customer service environment or 48 college credits plus 1 year experience.
• Strong written and verbal communication; multitasking and problem solving.

Responsibilities

• Communicates clearly in business English and documents conversations in the systems.
• Interacts with members, groups and providers to resolve insurance issues.
• Maintains HIPAA-compliant handling of sensitive information.
• Gathers information and uses company standards to resolve inquiries.

Skills

Active Listening

Multitasking

Written Communication

Verbal Communication

Problem Solving

Time Management

Detail Oriented

Keyboarding

Independent Thinking

Organized

Researching

Computer Literacy

Education

High school diploma or equivalent

Job description

Job SummaryThe Customer Service Representative (CSR) ensures final resolution of each customer inquiry in a timely and courteous manner while documenting detailed information relevant to the contact. Resolution may require system research and/or contacting experts in other areas of the company. Although some encounters may require multiple interactions, the CSR strives for the company goal of “first time resolution” whenever possible.RequirementsEDUCATIONHigh school diploma or equivalent.EXPERIENCEMinimum two (2) years' experience in a specialized customer service environment. OR two (2) years' college coursework (at least 48 credit hours) plus one (1) year experience in a specialized customer service environment.ESSENTIAL SKILLS & ABILITIESCustomer ResolutionsMultitaskingActive ListeningKeyboardingWork IndependentlyIndependent ThinkingOrganized Detail OrientedWritten and Verbal CommunicationsCustomer ServiceProblem SolvingWorking in a high stress environmentComputer LiteracyMust pass company proficiency test: Customer Service AssessmentSkills• Active Listening• Computer Literacy• Critical Thinking• Customer Service• Documentations• Evaluating Information• Oral Communications• Organizing• Problem Solving• Researching• Results Interpretation• Time Management• Written CommunicationResponsibilities• Communication: Communicates in a clear and concise manner (whether orally or in writing) using business English, correct grammar, and precise vocabulary; learns to make complex insurance topics accessible to a wide audience and explain benefits without resorting to jargon; develops the ability to listen, comprehend what is being said, and ask appropriate questions that help lead to issue resolution; and keeps accurate and complete electronic notes of conversations in the appropriate software systems.• Customer Service: Interacts directly with customers, which may include members, groups, and providers to resolve issues related to the products and services and health insurance plans offered by ABCBS and its family of companies; and completes interactions based on company standards and directives as well as within state and federal guidelines such as the privacy rules enumerated in HIPAA guidelines.• Other duties: As assigned• Problem-Solving/Complaint Resolution: Always conducts him/herself in a positive and professional manner, addressing others with politeness, etiquette, and tact; handles confrontational situations with empathy but also in such a manner as to reach fact-based objective conclusions and resolve; and gains conclusive agreement through negotiation.• Product Knowledge and System Know-How: Becomes an expert on benefits and eligibility for health insurance plans supported by multiple lines of business, as requested; and knows where and how to find information pertinent to providing superior customer service.CertificationsSecurity RequirementsThis position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual.Segregation of DutiesSegregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guidelines in the Administrative Manual.Employment TypeRegularADA Requirements1.1 General Office Worker, Sedentary, Campus Travel - Someone who normally works in an office setting or remotely and routinely travels for work within walking distance of location of primary work assignment.